Fifty- Seventh Legislature, Second Regular Session
DAY #4 OF SESSION II- 530 BILLS AND RESOLUTIONS INTRODUCED

Disclaimer: Since the legislature acts daily, each bill's status listed herein could change daily. This tracking document is merely meant to advise our members of a general overview of some of the bills that have been introduced and the status of the bill as of the date listed below. The bill summaries listed herein may or may not include all aspects of the proposed legislation and subsequent amendments and do not necessarily reflect an interpretation of the bills or the merits of the same. SB1014: Insurance; gender surgeries; documentation; reports Arizona mandates that health insurance contracts covering gender transition procedures must also cover gender detransition procedures, requires providers of transition procedures to pay for or provide detransition services, and establishes detailed monthly reporting requirements for insurers regarding detransition claims, including demographic data while protecting individual privacy. The bill also directs state agencies to create expedited processes for individuals undergoing gender detransition to update official documents such as licenses and certificates, with specific deadlines for reporting and implementation. Enforcement authority is granted to the Attorney General, who may investigate and take action to ensure compliance with these provisions.
Sponsor: Sen. Shope (R)
SB1099: Gender transition procedures; informed consent This act adds new requirements for health professionals who prescribe, administer, or perform gender transition procedures in Arizona. It mandates that providers obtain voluntary, written, and signed informed consent before treatment, after fully disclosing—both verbally and in writing—the uncertainties, known and foreseeable risks, irreversible effects, fertility impacts, and available nonmedical alternatives associated with such procedures. Informed consent must be documented on a state-prescribed form, retained in the patient’s medical record for at least fifteen years, and made available to regulatory boards upon request. The act prohibits providing misleading or incomplete information, classifies violations as unprofessional conduct subject to discipline, and allows patients to bring civil actions for damages when informed consent requirements are not met. The stated legislative intent is to ensure individuals receive complete and accurate information given the significant uncertainties and potential harms associated with gender transition medical interventions.
Sponsor: Sen. Frank Carroll (R), Sen. Hildy Angius (R)
SB1112: Mental health; hearings; acquaintance witnessesSection 36-539 of the Arizona Revised Statutes is amended to require testimony from at least one witness acquainted with the patient during mental health hearings, with the court allowed to waive this requirement if clear and convincing evidence is presented from other testimony. Testimony is limited to observed facts without expert opinion from witnesses, while evaluating physicians or health professionals must provide detailed opinions on the patient's mental condition and treatment needs. Provisions ensure the presence or waiver of the patient at hearings, allow for the use of affidavits, and establish procedures for recording and obtaining transcripts of the proceedings.
Sponsor: Sen. Carine Werner (R) SB1127: Duty to report; abuse; neglect SB 1127 (Arizona) amends the duty to report abuse, neglect, and denial of medical care of minors by expanding definitions of persons required to report and clarifying reporting procedures, including immediate reporting to the Department of Child Safety when abuse is committed by a caregiver. Reporting exemptions for consensual conduct among minors and accidental playground injuries are specified, and protections for clergy communications and psychiatric records are maintained with certain limitations. Penalties for failure to report are established as a class 1 misdemeanor or class 6 felony for reportable offenses.
Sponsor: Sen. Carine Werner (R) HB2007: Ivermectin; over-the-counter drug Ivermectin formulated for human use is authorized to be sold and purchased over-the-counter in Arizona without a prescription or health professional consultation. The definition of "over-the-counter drug" is established as a drug legally sold and purchased without a prescription in the state. These provisions are enacted under Arizona Revised Statutes Title 32, Chapter 18, Article 3, Section 32-1979.04 through HB 2007.
Sponsor: Rep. Nick Kupper (R)
HB2194: Claims; prior authorization; denials; contact The bill HB 2194 in Arizona mandates that health care insurers must provide a direct contact method and a prompt, substantive response within two business days when denying either insurance claims or prior authorizations, ensuring greater transparency and accountability in the claims and prior authorization process. The requirements apply to both claim denials and prior authorization denials, with the effective date set for after June 30, 2027. These provisions aim to improve communication between insurers and insured individuals regarding the reasons for denials. Sponsor: Rep. Selina Bliss (R) HB2250: Prior authorization; habilitative services Prior authorization requirements for health care services in Arizona are regulated to ensure continuity of care by honoring prior authorizations for at least 90 days after coverage changes and exempting providers from prior authorization for certain rehabilitative services and high-approval-rate providers. Timelines for prior authorization decisions are established, including expedited review for urgent services, and prior authorizations once granted are binding unless fraud is detected. Transparency and provider appeal rights are enhanced by requiring detailed disclosures of prior authorization criteria, adverse determinations, and statistical reporting, while specific provisions address prior authorization for prescription drugs related to chronic pain conditions.
Sponsor: Rep. Selina Bliss (R)